Search results for "Refractive surgery"
showing 10 items of 38 documents
The posterior chamber phakic refractive lens (PRL): a review
2012
Implantation of phakic intraocular lenses (pIOLs) is a reversible refractive procedure, preserving the patient’s accommodative function with minimal induction of higher order aberrations compared with corneal photoablative procedures. Despite this, as an intraocular procedure, it has potential risks such as cataracts, chronic uveitis, pupil ovalization, corneal endothelial cell loss, pigmentary dispersion syndrome, pupillary block glaucoma, astigmatism, or endophthalmitis. Currently, only two models of posterior chamber pIOLs are commercially available, the implantable collammer lens (STAAR Surgical Co.) and the phakic refractive lens (PRL; Zeiss Meditec). The number of published reports on…
Diffractive corneal inlay for presbyopia
2017
[EN] A conceptually new type of corneal inlays for a customized treatment of presbyopia is presented. The diffractive inlay consists on a small aperture disc having an array of micro-holes distributed inside the open zones of a Fresnel zone plate. In this way, the central hole of the disc lets pass the zero order diffraction and produces an extension of the depth of far focus of the eye, while the diffracted light through the holes in the periphery produce the near focus. Additionally, the micro-holes in the inlay surface fulfill the essential requirement of allowing the flow of nutrients through it to the cells of the corneal stroma. Theoretical and optical-bench experimental results for t…
Clinical use of the ocular point spread function for retinal image quality assessment
2008
The purpose of this study is to demonstrate the clinical use of the point spread function (PSF) as metric for the assessment of retinal image quality in eyes with different ocular conditions. The PSF was computed from the wavefront aberrations obtained in seven eyes with different ocular conditions: emmetropia, myopia, hyperopia, post-myopic laser in situ keratomileusis (LASIK), post-hyperopic LASIK, keratoconus, Intacs ® in keratoconus, radial keratotomy (RK), LASIK after RK, cataract, phacoemulsification after cataract surgery, and LASIK after astigmatic keratotomy. The Strehl intensity ratio was calculated for all the PSFs computed. The PSF was correlated with the change in the optical e…
Diffractive multifocal intraocular lenses: reading performance and quality of life evaluation
2011
ABSTRACT Purpose: To evaluate the reading performance and changes in quality of life after cataract surgery with multifocal diffractive (IOLs) implantation Setting: Section of Ophthalmology - Department of Experimental Biomedicine and Clinical Neuroscience, University of Palermo, Italy; Eye Clinic - Department of Preclinical and Clinical Pharmacology, University of Florence, Italy. Methods: 160 Consecutive eyes of cataract patients were divided into two groups. One group (20 patients, 40 eyes) received aspheric monofocal IOLs (Acrysof SN60WF). One group (60 patients, 120 eyes) was implanted with a diffractive aspheric multifocal IOL produced by different manufacturers: 20 patients with Acry…
Evaluation of cut quality using the Amadeus microkeratome with different settings.
2004
Abstract Purpose: To evaluate the quality of keratectomy specimens created with the Amadeus® microkeratome (AMO) using scanning electron microscopy (SEM). Setting: Johannes Gutenberg-University Hospital, Department of Ophthalmology, Mainz, and the Department of Anatomy, Justus Liebig-University, Giessen, Germany. Methods: Corneal cuts were performed in freshly enucleated pig eyes using the Amadeus microkeratome with 9 combinations of oscillation rate and head-advance speed. For the cutting trials, oscillation rates of 8000, 13000, and 18000 rpm and head-advance speeds of 1.0, 2.5, and 4.0 mm/s were chosen. Fifty-four eyes were included, resulting in 9 groups of 6 eyes for each configuration…
Presbyopia and the aging eye: Existing refractive approaches and their potential impact on dry eye signs and symptoms.
2020
Every part of the human body is subject to aging, including the eye. Increased prevalence of dry eye disease with age is widely acknowledged: aging threatens ocular surface homeostasis, altering the normal functioning of the lacrimal functional unit and potentially leading to signs and symptoms of dry eye. Parallelly, two additional degenerative processes take place within the crystalline lens, leading to presbyopia and cataractogenesis. With continuously increasing life expectancies both conditions are expected to impact society further. Correction strategies for presbyopia and cataracts either directly or indirectly challenge ocular surface additionally. On one hand, contact lens presbyop…
Comparison of higher order aberrations measured by NIDEK OPD-Scan dynamic skiascopy and Zeiss WASCA Hartmann-Shack aberrometers.
2008
<h4>PURPOSE</h4><p>To compare the measurement of wavefront aberrations in non-cyclopleged human eyes with Hartmann-Shack and dynamic skiascopy wavefront analyzers.</p> <h4>METHODS</h4><p>Eighty eyes of 40 healthy young adults (19 men, 21 women; mean age 20.8±2.5 years) with refractive errors ranging from +1.50 to –9.75 diopters (D) sphere and up to 1.75 D cylinder (mean spherical equivalent refraction –2.12±2.69 D) were examined with the Zeiss/Meditec WASCA and NIDEK OPD-Scan wavefront analyzers and with the Nippon SRW5000 binocular, open-field autorefractor without the instillation of antimuscarinic agents. Three measurements were taken with each s…
The role of dry eye disease in cataract and refractive surgery
2019
El síndrome de ojo seco (DED) puede jugar un papel importante en las cirugías oftálmicas con fines refractivos tanto corneales (tratamiento corneal laser) como cristalinianas (cirugía de catarata) pero también en aquellas cuyo fin es controlar la presión intraocular en pacientes que sufren de glaucoma. El objetivo principal de esta tesis se refiere a la aplicación de una serie de pruebas diagnósticas, de mínimamente a no-invasivas, sugeridas por el Tear Film & Ocular Society Dry Eye WorkShop II (TFOS DEWS II) que pueden ayudar a mejorar los resultandos refractivos y visuales en la cirugía oftálmica actual. La cirugía de cristalino, particularmente la cirugía moderna de catarata y la refract…
A new trifocal corneal inlay for presbyopia
2021
[EN] Corneal inlays (CIs) are the most recent surgical procedure for the treatment of presbyopia in patients who want complete independence from the use of glasses or contact lenses. Although refractive surgery in presbyopic patients is mostly performed in combination with cataract surgery, when the implantation of an intraocular lens is not necessary, the option of CIs has the advantage of being minimally invasive. Current designs of CIs are, either: small aperture devices, or refractive devices, however, both methods do not have good performance simultaneously at intermediate and near distances in eyes that are unable to accommodate. In the present study, we propose the first design of a …
VisuMax®femtosecond laser for corneal refractive surgery
2008
Femtosecond lasers are increasingly present in ophthalmologic surgical theaters for a variety of reasons. These include faster and better visual outcomes, increased accuracy and predictability for corneal flap thickness in laser in situ keratomileusis procedures. Recent applications of modern femtosecond lasers have broadened the range of uses: keratoplasty, intrastromal segment insertion and even glaucoma and presbyopia surgery. This device profile provides an overview of the advantages of femtosecond lasers in ophthalmic surgery, paying special attention to the new VisuMax® femtosecond laser from Zeiss/Meditec.